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Chai Moua
Addiction (Substance Use Disorder) Counselor in Eau Claire, Wisconsin
NPI 1871245027

Chai Moua is an Addiction (Substance Use Disorder) Counselor based in Eau Claire, WI and is specialized in Addiction (Substance Use Disorder). Chai Moua practices in Eau Claire, WI. The NPI Number for Chai Moua is 1871245027 and holds a License No. (Wisconsin).

The current practice location address for Chai Moua is 4701 Rudolph Rd, Eau Claire, WI and can be reached out via phone at 715-590-2360.

Location: 4701 Rudolph Rd, Eau Claire, WI, 54701-7953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871245027
Provider Name
Chai Moua
Credential
Provider Entity Type
Individual
Gender
Male
Address
4701 Rudolph Rd, Eau Claire, WI, 54701-7953
Phone Number
715-590-2360
Fax Number
Provider Enumeration Date
01/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M0001008722407 05 WI
institution
Provider Business Practice Location Address Details
Address
4701 Rudolph Rd
City
Eau Claire
State
Wisconsin
Zip
54701-7953
Phone Number
715-590-2360
Fax Number
person
Provider Business Mailing Address Details
Address
4701 Rudolph Rd
City
Eau Claire
State
Wisconsin
Zip
54701-7953
Phone Number
715-590-2360
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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